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Rejuvenating Medical Education: Seeking Help from Homer Unabridged edition [Kõva köide]

  • Formaat: Hardback, 325 pages, kõrgus x laius: 212x148 mm
  • Ilmumisaeg: 26-Jun-2017
  • Kirjastus: Cambridge Scholars Publishing
  • ISBN-10: 1443895644
  • ISBN-13: 9781443895644
Teised raamatud teemal:
  • Formaat: Hardback, 325 pages, kõrgus x laius: 212x148 mm
  • Ilmumisaeg: 26-Jun-2017
  • Kirjastus: Cambridge Scholars Publishing
  • ISBN-10: 1443895644
  • ISBN-13: 9781443895644
Teised raamatud teemal:
Returning to Homer's Iliad and Odyssey for inspiration, this book uses these epics as a medium through which we might think imaginatively about key issues in contemporary medicine and medical education. These issues include doctors as heroes, and the legacy of heroic medicine in an age of clinical teamwork, collaboration and a more feminine medicine. The authors challenge ingrained habits in medical education, such as the way we characteristically "train" medical students to communicate with patients and colleagues; the reduction of compassion to the "skill" of empathy; the rote recital of the medical history as a "song"; and the new vogue for "resilience" as response to increasing levels of stress and burnout in the profession. A Homeric lens also shows new ways of thinking about translation of medical lingo into patients' understanding, the relatively high levels of anger and error shown in clinical interactions, and modern phenomena such as "whistleblowing" in the face of unacceptable error or misbehaviour. While exhaustion and burnout are becoming more common in medicine, the authors ask if a more lyrical, rather than epic and tragic stance, might benefit medical work.Drawing on a wealth of experience in the field, the book promotes a new kind of medicine and medical education fit for the 21st century, but envisages these through the ancient lens of Homer's two epics. In the heroic glory elaborated in the Iliad and the themes of homecoming and hospitality set out in the Odyssey, Homer provides a narrative arc that is a blueprint of modern medicine's development from a heroic endeavour to a contemporary collaborative provision of hospitality, where the hospital remains true to its name and doctors engage in work of care rather than "fighting" disease with the hospital as battleground.

Arvustused

'An impressively written, organized and presented study of impeccable and seminal scholarship, 'Rejuvenating Medical Education' is enhanced with the inclusion of a thirty-three page Bibliography and a seven page Index, making it unreservedly recommended for college and university library Medical Education collections and supplemental studies reading lists.'Midwest Book Review Library Bookwatch: December 2017'We need more books like this one: books that revel in the moral complexity of clinical work and that initiate fruitful dialogues across disciplines to explore it. Marshall and Bleakley see medicine as an art as well as a science and use Homer as a model of what style, presence and refinement might mean in a clinical context. Their book is a salutary intervention at a time when medical education is increasingly laying on algorithmic habits of mind. They evoke the human dimension of medical practice as skilfully as the best physician writers: Rita Charon, say, or Jerome Groopman. At a time when the humanities are in retreat in medical schools, this book offers much-needed food for thought to anyone wanting a detailed account of how the humanities might contribute to clinical training.'Neil Vickers, King's College LondonMedical History 62/3 (2018)

Acknowledgements xi
Foreword xiii
Trish Greenhalgh
Introduction "Thinking Otherwise" with Homer 1(14)
How we got into this epic mess
Where does medical education fit in?
The Homeric imagination
Why Homer?
Using Homer in new ways to refresh medical education
Chapter One Heroes
15(12)
The mortality gene
From two types of hero to the hero with a thousand faces
Emergence of the anti-hero
A new wave of heroes and heroines
Chapter Two Heroes (Are Yesterday's Men)
27(21)
Heroes satisfy a need in those who are not heroes
The heroic tradition celebrates masculinity
Heroes are individuals
Heroes must embrace mortality
Heroes have a stand-in, or ritual substitute
Heroes have a cult after death
Heroes are flawed psychologically and morally
Heroes are transgressive
Heroes are charismatic as well as skilled
The behaviour of heroes is excessive
Today's heroes are not as good as yesterday's men
Homeric heroes are generally of two types: force or craft
Heroes are a bloody mess
Conclusion
Chapter Three Putting it Bluntly
48(15)
Can "thinking otherwise" with Homer really help doctors to improve communication?
The Embassy
Embassy scenarios in the clinic and on the ward
Chapter Four Lost in Translation
63(20)
Receiving a history
Translation matters
Issues of translation in healthcare contexts
Translating Homer
Faithfulness to the original
Identity
Power
Contingency
Conclusion
Chapter Five Sing, Muse
83(21)
Medical history as oral tradition
Songs in hospital
The medical history and genre
The aesthetic worth of the case presentation
The effect of oral traditions
The creation of identity
Telling the same story to different audiences
The next crisis
Chapter Six Compassion
104(18)
Communication: skill or style for life?
Pity in Homer
Communication, virtue, virtuosity
A return to pity
Conclusions: empathy ancient and modern
Chapter Seven Lyricism
122(13)
Waxing lyrical
Medical genres
The erosion of care
The lyrical body in Homer
Finding a place for the lyrical
Coda
Chapter Eight Anger
135(20)
Written in collaboration with Dr David Levine
Medicine as epic
Medicine as war
Alternatives to medicine as war
The return of the repressed
Rageaholics and civility
Transformations of anger
Conclusion
Chapter Nine Error
155(22)
Written in collaboration with Jacob King, Elin Barham and Kirsten Leslie
Homer and error
Medicine and error: from individuals to systems
Errancy and reparation
Doctors too are wounded by their errors
Conclusion
Chapter Ten Whistleblowing
177(16)
Written from an original idea by, and in collaboration with, Victoria Rodulson
Dilemmas of "speaking out"
Whistleblowing and virtue ethics
Whistleblowing in the flesh
Speaking out against social injustice
Anonymity or open confrontation?
Speaking truth to power
Conclusion
Chapter Eleven Abuse
193(18)
Encounter with a surgeon
Ritual humiliation in medicine
Can Homer help?
Abuse in Homer
"Honour-shame" and "Guilt" cultures
Aidos
Conclusions and solutions
Chapter Twelve Bone Tired
211(13)
Bone tired and ready for sleep
Durational misperformance
Embracing Hypnos through a new medicine
Chapter Thirteen Resilience
224(21)
Medicine's "Achilles' Heel"
Definitions
What quality do we need?
Grit
"Thinking otherwise" about resilience and grit through Homer
Bouncing up, not bouncing back
Moving forward
Appendix: Synopses
245(22)
The Iliad
The Odyssey
Bibliography 267(33)
Index 300
Robert Marshall has been a consultant pathologist for 30 years at the Royal Cornwall Hospitals, where he was Director of Postgraduate Medical Education, and is an Honorary Associate Professor at the University of Exeter Medical School, UK. He has published 45 book chapters and articles in pathology and medical humanities. He was a founder member of the Association for Medical Humanities, of which he was secretary from 2005-8, and is currently helping to develop links between Exeter Medical School and Wollega Medical School in West Ethiopia.Alan Bleakley is Emeritus Professor of Medical Education and Medical Humanities at the University of Plymouth Peninsula School of Medicine, UK. He is an internationally recognised figure in the fields of medical education and medical humanities with a strong research portfolio and publications record. He was President of the Association for Medical Humanities from 2013 to 2016.